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題 名 | Physical Findings and Cephalometric Variables as Risk Factors for Obstructive Sleep Apnea Syndrome--A Preliminary Report=阻塞性睡眠窒息症候群(OSAS)在理學檢查及頭顱X光危險因子的表現--初步報告 |
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作 者 | 羅友倫; 李岡遠; 蕭世欣; 楊朝凱; 劉育志; 郭漢彬; | 書刊名 | 胸腔醫學 |
卷 期 | 16:2 2001.06[民90.06] |
頁 次 | 頁102-111 |
分類號 | 415.472 |
關鍵詞 | 阻塞性睡眠窒息症候群; 頭顱測量; Obstructive sleep apnea syndrome; Cephalometry; |
語 文 | 英文(English) |
中文摘要 | 阻塞恍睡眠室息症群(OSAS)導因於睡眠時上呼吸道重複阻塞所致,是一個嚴重的人眾健康問題,主要影響2~4%的中年族群。阻賽性睡眠窒息症候群(OSAS)的嚴重度及臨床表現差異極大,可透過心肺呼吸衰竭表現,亦可以精神意識不正常表現。咽部呼吸道的塌陷增加及結構上的界常被認為與阻塞性睡眠窒息症候群(OSAS)的病理機轉有關,為了正確了解阻塞性睡眠窒息症候群(OSAS)病人理學檢查及結構型態上的特殊差異,本研究比較二十個阻塞性睡眠窒息症候群(OSAS)病人及十五個對照組病人有關理學樆查及頭顱X光的差異。研究結果顯示二組病人間性別、頸圍、軟顎長度及後上呼吸道空間有明顯差異;理常檢查部分,有關側咽壁狹窄與否、扁桃腺大小、懸垂雍大小、咬合不正(Overjet)、縮下巴與否(Retrognathia),則二組病人間無明顯差異,研究結果認為男性、頸圍較長、軟顎較長及後上呼吸道空間狹窄的病人,易得到阻塞性睡眠窒息症候群(OSAS)。 |
英文摘要 | Obstructive sleep apnea syndrome (OSAS) results from the repeated collapse of the upper airway during sleep, accompanied by arousal from sleep. Increased pharyngeal collapsibility and abnormal and abnormal anatomic structures have been postulated to contribute to the pathophysiology of OSAS. To determine the risk factors of the oropharyngeal structure and the morphological characteristics specific to patients with OSAS, 20 adults with an AHI higher than 10, and 15 adults with an AHI less than 10, were recruited for oropharyngeal physical examination and cephalometry evaluation. The OSAS patients had a higher mean AHI (41.0±20.2 vs 4.1±3, P<0.01) than the control group. The neck circumference (NC) (40.8±3.7 cm vs 37.1±5.1 cm, P<0.05) and the percentage of males (75% vs 40%, P<0.05) were significantly higher compared to the control subjects. Soft palate length (SPL) (42.9±9.0 mm vs 37.6±3.9mm, p<0.05) and superior posterior posterior airway space (SPAS) (5.9±2.6 mm 7.9±2.8 mm, p<0.05) were found to be significantly different between the OSAS and control groups. The physical findings of lateral pharyngeal wall narrowing, tonsillar enlargement, uvula enlargement, overjet, and retrognathia were not significantly associated with OSAS patients. In addition, NC was found to be highly correlated with AHI (r=0.52, p=0.002). As to cephalometric variables, AHI was strongly associated with SPL (r-0.55, p=0.001), and engatively associated with SPAS (r=-0.33, p=0.04). Our results suggest that males with an expanded neck circumference, elongated soft palate length, and a short superior posterior airway space, were at an increased risk for OSAS. |
本系統中英文摘要資訊取自各篇刊載內容。